HomeMy WebLinkAboutApplicationRECH
G /.r^ I r f I t. I,Eqry!._q9$t\Peve I o pm ent De pa rtm e nt
60M[lljt,lr't ' iil rrf :r.nflpqfith Street Suite 401
Glenwood Springs, CO 81501
leTole4s-82t2
www.garfield-counW.com
GarfuId Counfit
BUILDING PERMIT
APPLICATION
Com mercial/Multi-Fami Demolition
Manufactured Home (Single or Multi-Level)
.Residential (SF, Duplex or Townhome)Reroof
Accessory Dwelling Unit (ADU)- MAXIMUM SIZE OF 1,200 SQUARE FEET
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Property
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owner: d"^r) * Eua^, D-Ko
Mailing Address
Email Address:
Phone: ( 81" I ?,el "?5 Il
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Mailing Address
Email Address:
lnt\ ttr -L Phone: (17o | 3la- OllaContractor:
C
PhonerArchitect:
Mailing Address:
Email Address:
Emaif Address, Sl,,:);e h^. eneinazv^ @- a/'4a:\(a->*-v
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Mailing Address:@5o
Engineer:Phone: g7o I .7b( " XGlo,AAoM
Manufactured Home lnstaller: Phone:
Email Address:
owner,sValuationofWork:s-Property5ize(Sq.Ft.orAcres):40'2v^.^'g
Describe Workr
Job Address:
v7t
u
Lot
Height:Sq. Ft. of Building:*, qqo
Assessor's Parcel Number: 2175 35'l oo-L73 t-z6-/,
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Sub.
Mailing Address:
+ la,00t
S of Floors: A
Block _
KClass of Worlc Remodel/Alteration Addition
Garage:Attached Detached
a
CommunitySeptic:
OtherElectricPropaneatural GasType of Heat
Driveway
Permit:
the Owner, must be provided with this Application'
Legal Access. A Building permit cannot be issued without proof of legal and adequate access to the property for
purposes of inspections by the Building Division'
Other permits. Multiple r.p"rrt" permits may be required: (1) State Electrical Permit, (2) County OWTS Permit'
(3) another permit required for use on the property identified above, e.g' state or county Highway/ Road Access
or a State Wastewater Discharge Permit'
void permit. A Building permit becomes null and void if the work authorized is not commenced within 180 days
of the date of issuance and if work is suspended or abandoned for a period of 180 days after commencement'
Owner of the property, described above,
, a separate letter of authority, signed by
Permit must be signed bY the
elow is not that of the Owner
Authoritv. This apPlication for a
or an authorized agent. lf the sig
Building
nature b
applicable law.
I hereby grant permission to the Building Division to enter the property, described above, to inspect the work' I
further acknowledge that the issuance of the Building permit does not prevent the Building official from: (1) requiring
the correction of errors in the submittals, if any, discovered after issuance; or (2) stopping construction or use of the
structure(s) or facility(ies) if such is in violation of County Regulation(s) or any other applicable law' Review of this
Application, including submittals, and inspections of the *oit Uy the Building Division do not constitute an
acceptance of responsibility or liability by the County of errors, omissions, or discrepancies' As the Owner, I
acknowledge that responsibility for compliance with federal, state and local laws and County Regulations rest with
me and my authorized agents, including without limitation my architect designer, engineer and/ or builder'
correct.andednboveatruenformatiocontainandonthethatthisdlicatiatthhreaaveherecepAprtifyby dher ataalonsdnottheansandhpecificatwitthecatiop5lDivin,longonthethatBuiacceptsAppldiunnderstadng
nesscomasonaccutopleteAssumingncertificatiracydbasebehalfmbupomyemonor(su ittals),u ittedbm myby to asonme,bewill issuedBuildrmPeit gra permissintingathisofcation,ingbmsuaittalsndApplthofepproval
tvtslon,D lnethBuilditta lssubm ingreviewedleddetainothebynfacideslitithectstrutoOwnerconstructure(s)
with on ofWIcom anyandplyprovrsrrmPethatagentsmyethit,Buiissuatheof lding agreenceofconsideration ations ndaCodOWTSdCoue,reguBuildiandrk(]arTlthe e nty ngatiWOtheolocalAWregulngrafedestate,forrmntrflunit,exceptadbpedevelolatiounAllpmereqons(s ))CountyuselandlatiRegntyle(Couregupplicab ildiBudatththenteCodacknow ngDeveandgethofLaUseopmndArticleto7ureaeresidntialses,subject thof enstructioncouseortheifethocation,oticen from Countyeddrevoorsubenuponked,spePermitmay otheroronwnceithany(s)otn n co a County Regulatiabovebedarempldescrifacianditv(ies),structu re(s)
I hereby acknowledge that I have read and understand the Notice and Certificatio n above, as well as, have
provided the required information which is correct and accurate to the best of my knowledge'
Print and Sign Date
0
Special Conditions:
6;re /
Fees:Manu. Home Fee:Va 7662
DBalanu-
,
Fees Paid:bqoq
Const.Lroup:L
BUTLDTNG / PLANNING DIVISION :
Signed ApProval Date
h),;.+A
Gatfuld CountY
2/76a;/aa//3
BUILDING DEPARTMENT
7OB Eighth Street, Sulte 407, Glenwood Springt CO 87607
Tel: (970) 945-8272
P N REVIEW C HECKL rsT
Permit No:B4r -/a-dv- g7s/
Building lssues Pla n n i ng lZoning lssues RqRAL
Engineered Foundation
riveway Permit
Surveyed Site Plan
-sttinto-e7-6399
Septic Permit and Setbacks Uil> Buirding Height
ning Sign-Off
Property Line Setbacks
35 ft. Stream Setbacks
Flood Plain
Jn
Grade/ Topography 40%
Planning lssues
Subdivision Plat
c2A//-
Attach Residential Plan Review List
Subdivision Plat Notes
Fire Department Review
Valuation Determination/ Fees
Red Line Plans/ Stamps/ Sticker
Attach Conditions
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Energy Compliance Path/Plan Received
Plan Reviewer to Sign APPlication
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40# Snowload Letter - Manuf. Homes
Soils Report 36 "fuf
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